BLCK (04-6294)m 4�� BUILDING & SAFETY DEPARTMENT
1504
(760).777-7012
IeF'TKti9 78 4,5 �ALLE TAMPICO FAX (760) 777-7011
SEP 1
2�L'lA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153
ca�v aF �QUIWIA BUILDING PERMIT
F1MA�cE
Application Number :J 04,-00006294 1 Date 9/13/04
Property Address . . . . .� -4-3-8-75--MILAN-CT
APN: 609-552-002-21 -28458 -
Application description . . WALL/FENCE
Property Zoning . . . . . LOW.DENSITY RESIDENTIAL
Application valuation . 1299
Owner a Contractor
------------------------ ------------------------
SEGURA JUAN GERARDO OWNER
C/O GERARDO SEGURA
UNKNOWN CA 99999
-----------------------------------------------------------------------------
Permit . . . . . WALL/FENCE PERMIT
Additional desc
Permit Fee 31.00 Plan Check Fee .00
Issue Date . . . valuation 1299
Qty Unit Charge Per Extension
BASE FEE 15.00
8.00 2.0000 HND BLDG 501-2,000 16.00
--------------------------------------------------------=-------------------
Special Notes and Comments
60 -LF 5' BLOCK WALL.ALONG FRONT CITY
STND
Fee summary Charged. Paid Credited Due
----------------- ---------- ---------------- ----------
Permit Fee Total 31.00. .00 .00 31.00
Plan Check Total. .00 .00 .00 .00
Grand Total 31.00 .00 .00 31.00
N -7
P.O. Sox 1504
78-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
Application Number:
Applicant:
Applicant's Mailing Address:
Architect or Engineer:
F -M
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: f
Architect or Engineer's Address:
Lic. No.:
BUILDING PERMIT DECLARATION
LICENSED CONTRACTOR'S DECLARATION ,
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals
Code, and my License is in full force and effect.
License Class License No.
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed
statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business
and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500).):
U 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work
himself or herself or through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.)..
U I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
U I am exempt under Sec. , BA P.C. for this reason
Date Owner61 el s
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
_ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier Policy Number
_ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restricfions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application, the owner, and the applicant, each agrees to, and shall, defend, indemnify and hold harmless the City of La Ouinta, its
officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or
cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes.
Date . �r�>L.
Signature (Applicant or Agent): * t
2.- ALL WORK, WHETHER SPECIFICALLY CALLED FOR OR NOT, SHALL`
BE CONSTRUCTED UNDER THE LATEST EDITION OF THE UNIFORM
BUILDING CODE AS ADOPTED BY THE LOCSL GOVERNINu AGENCY.
3.- ALL EXTERIOR FLATWORK SHALL HAVE A POSITIVE SLOPE AWAY
FROMTHE BUILDING (1% MIN.) -
4.- THE GENERAL CONTRACTOR SHALL THOROUGHLY FAMILIARIZE
HIMSELF WITH THIS DOCUMENTS PRIOR TO PROCEEDING WITH
ANY CONSTRUCTION AND SHALL REPORT ANY DISCREPANCY TO
THE DESIGNER PRIOR TO COMMENCING ANY WORK. SHOULD ANY -
DEVIATION BE MADE FROM THESE PLANS WITHOUT THE WRITTEN
CONSENT FROM THE DESIGNER, THE OWNERICONTRACTOR ASSUME
ALL RESPONSIBILITY FOR SUCH DEVIATION.
THE GENERAL CONTRACTOR SHALL SUBMIT COPIES OF
SHOP DRAWINGS OF ALL. MANUFACTURED ITEMS (i.e. CABINETS,
TRUSSES,ETC.) TO THE DESIGNER FOR REVIEW AND APPROVAL ,
PRIOR TO FABRICATION. THE GENERAL CONTRACTOR WILL BE
RESPONSIBLE TO PROVIDE ADEQUATE TIME FOR REVIEW 00 t
WORKING DAYS) OF SUBMITTED ITEMS SO WHEREAS SUCH s y
REVIEW SHALL NOT ADVERSELY IMPACT THE CONSTRUCTION
SCHEDULE. a
6.4 INFREQUENT SITE VISITS BY THE DESIGNER OR ENGINEER IN
NO V;AY ALLEVIATES THE CONTRACTOR'S RESPONSIBILITY IN
REGARDS TO CODE COMPLIANCE, SAFELY OR THOROUGHNESS. -
TALL SUB CONTRACTORS SHALL VISIT THE JOB SITE WITHIN 24 F
HOURS PRIOR TO COMMENCING WORK THE SUBCONTRACTOR
SHALL BE RESPONSIBLE FOR REVIEWING RELATED TRADES SUB-
SURFACE
UBSURFACE PREPARATION AND SHALL REPORT ANY NON -CONFORMING ,
DISCREPANCY TO THE GENERAL CONTRACTOR EXECUTION OF
WORK BY ANY SUBCONTRACTOR INDICATES ACCEPTANCE OF THE
PREVIOUS TRADE'S WORK
g,- THE OWNER AGREES TO HOLD HARMLESS, INDEMNIFY, AND
DEFEND THE DESIGNER, HIS EMPLOYEES, AND ENGINEERS _
AGAMST ANY AND ALL LIABILITY, CLAIM DAMAGES AND COSTS ,
OF DEFENSE ARISING OUT OF THE ERRORS OR OMISSIONS, OR
NEGLIGENT ACTS CAUSED BY THE MODIFICATIONS TO THE WRNS ,
AND SPECIFICATIONS. ;
9.- ANY CHANGE, MODIFICATION OR ALTERATION OF THESE PLANS `
SHALL BE AT THE SOLE RISK OF THE PERSON MAKING OR
CAUSING THE SAME AND SHOULD BE REVIEWED BY THE DESIGNER
OF RECORD FOR CONFORMITY WITH THESE PLANS.
10.- VERIFY CONNECTION POINTS FOR POWER TELEPHONE AND CAN
SYSTEMS PRIOR TO CONSTRUCTION APPROXIMATE ONLY LOCATIONS
INDICATED FOR TRANSFORMER LOCATIONS, ETC..,
11- COMPLY WITH ALL UTILITY COMPANY REQUIREMENTS. PROVIDE ALL
RELATED CONDUITS, PULL BOXES AND RISERS.
12: CONTRACTOR SHALL VERIFY ACTUAL DEPTH AND LOCATION OF ALL
EXISTING
R IES PR8
IORT CONSTRUG) ON... CALL UNDERGROUND
SERVICE ALERT
13: PRIOR TO TRENCHING, GRADING, EXCAVATING. DRILLING, PIPE PUSHING,
PLANTING TREES DIGGING FENCE POST HOLES ETC. THEY WILL SUPPLY .
INFORMATION OR LOCATE AND MARK ANY UNDERGROUND FACILITIES.
1
GENERAL SPECIFICATIONS
--- V. -- -
------------- ----�- - -
----- , .
- _-------- --- I"��''— — - —II any ERRORS. DISCREPANCIES or OMISSIONS appear in Lha draMngs•
O N It MINTA�pesfications or other contras oownnents.
the
GENERAL CONTRACTOR • `
s 1 Shan hairy me dever,e..n ...;imp or auclt error or on.ason.
WILL BE CHARGED IF FEE OF $30 I JILL 'NJ Si 1FE11� DEPT. �In me event that the GENERAL CONTRACTOR fails to W`hRAL notice
1 afore co amadon and/a fabrication of the wMc. THE GEN
CON-
PLANS AND JO THE APP �I� � �A9 E ® �RACTOR WLLL BE HELD ESPONSIBL E to the Ba-yingtrasurtofanyerrds.dis-
B CARD ARE NOT ON FOI ; C�oNs7 �uC� SON �ee1-noes°r omns ons and he cost ea fy ng :he szma.
\THE SITE FOR A SCHEDULED LED CITY OF LA QUINTA NOTES
DATE — �— r
! NO'EicCEPTIONS! _ I CONSTRUCTION HOURS:
_ I
1 OCTOBER 1st -APRIL 30
�• MONDAY - FRIDAY: 7:00 A.M. TO 5:30 P.M."
o• '
--------------- \ _ m k
-} J , SUNDAY: NONE
SATURDAY: 8:00 A.M. TO 5:00 P.M.
GOVERNMENT CODE HOLIDAYS: NONE ,
Existing
\ • � • i0 MAY 1st -SEPTEMBER 30th
-r =_ Residence
MONDAY -FRIDAY: 6:00 A.M. TO 7:00 P.M.
CO } n' AIR CONDITIONIN COMPRESSOR SATURDAY: 8:00 A.M. TO 5:00 P.M.
,
l•I 4 - • ' AND CONDENSINNGZiC�-IL UNIT. _ - -
I f, TO BE ON CONCRET�'PAD•
O }� SUNDAY: NONE
I I (TOP OF PAD MINrd AIBOVE GRADE) GOVERNMENT CODE HOLIDAYS: NONE
0.I _ I o
o
I
AN ADEQUATELY SIZED DEBRIS CONTAINER
•1; " - / i I IS REQUIRED ON THE JOB SITE DURING ALL _
-- ON AND MUST BE
I PHASES OF CONSTRUCTION A 3
I I P+'T':I } •'• • • �{t?? . i;f }r • EMPTIED AS NECESSARY. FAILURE TO DO
fir I F — --- fi <'?E'�Y+Yr" t•vr: s'r: : wr ':t v' '{ SO MAY CAUSE THE CITY TO HAVE THE
I I I I • i ' •y:t}:{�}}!r}X}:{{�;ir{Y.:L�}:•
i.},0.09.}X.M.,}; *:r}jvt;?,.};VIII ?4
I I I r; CONTAINER DUMPED AT THE EXPENSE OF THE
i
• v I r{rrt;rr} ; .i, I �OWNER/ CONTRACTOR.' � I{r?•'��,'if;Yttftf+f�:}:r{:f:>.�ittt:t;:Yl`St'?f: �.
' I I ?�?{;yirya;{}{:.,{.}t•?ui4}?r "rlr.{tt't.'?}�}{}{5{{; I
}„ pF•.,
I Exis in g ; {;1 } {:!?•Y?{{?•}:{•}? N4Yr•:i<ii4\•}:{'}I'}?'}'{'??{+ I TITLE 24 WINDOW SHADING REQUIREMENTS
• i r.:.` - 'r,:'?;r• }v: _ I �X?:};¢r,'vlvnw.vvJ.
Gar e I ?,}g•};{• MUST BE IN PLACE PER ENERGY CALCULATIONS
9 I ?;>:rrl 1 r;•rtr: Guest House ic-io?•}}' I
}'jr{{kY{+✓i}?,i :'},{'}; ¢'{:} yrs'+ I FOR FINAL INSPECTION.
• ) i 1 .N.'r,' w {rfi • :?ttX' :,}} r h Yv}}}%ri:?:}'i:i:{?;f:y}:Z?, hl{'r:{'}:V}d}:4avr,{•R4}}'• I _ .. -
,.{,r,{Enl TDwef {,.d{'}:.Y.;,.?•a,a,}},{,}R'}}}::a'.4::r.{•}'tr,t,}X•};nr;hyR• « I
I . ry •rr; •rr::::v} { }:{,}:{Y Gr S, t ;3;{v'? :•}:?;Y::Y,?•};{,};v}n'y,{r?.{•}}}}.{•h} I Q
t} r.'???.?;Y.?r':}:{,;r}};{rrr:;rti,}??:r}X{•t'?•}IY?r?{}'?h'.{? I o.
tr;}R.}•, r t{ .}•}:'i:I't'• i'?,:},v:}V:Sv:{v:{?,.;{.'r:?v,{;iR I 471)
I r ? S:{{.}.v'�i'i'iv+iv$:{;:�1:Y7r:}y•+;ft;)'v+:}i:}i:�' r.. !
:{ . w: r? : y:'{: _ • r v?:;i„'frit ,... .i•}Y:,},{,y...... , }
UTILITIES NOTE
VERIFY CONNECTION POINTS FOR POWER b
TELEPHONE AND CATV SYSTEMS PRIOR TO
CONSTRUCTION APPROXIMATE ONLY LOCATIONS
INDICATED FOR TRANSFORMER LOCATIONS, ETC.
COMPLY WITH ALL UTILITY COMPANY
REQUIREMENTS. PROVIDE ALL RELATED
CONDUITS, PULL BOXES AND RISERS.
CONTRACTOR SHALL VERIFY ACTUAL DEPTH
AND LOCATION OF ALL EXISTING UTILITIES
PRIOR TO CONSTRUCTION... CALL o
UNDERGROUND SERVICE ALERT (TOLL FREE 800-642-2444)
PRIOR TO TRENCHING, GRADING, EXCAVATING, DRILLING,
PIPE PUSHING, PLANTING TREES, DIGGING FENCE POST HOLES ETC.
THEY WILL SUPPLY INFORMATION OR LOCATE AND MARK
ANY UNDERGROUND FACILITIES.
VICINITY MAP
III��II�I 1��1
Existing
Driveway
---------- ------------
Private
------- -Private ^�
Patio L
o
iDC,
0
0
f 72.00 PROPIETY LINE Q
"v
0
I) Sidewalk
t NOTES:
77
• LANDSCAPE LIGHTING SHALL BE
PHOTOCELL CONTROLLED.
• LANDSCAPE AREAS INDICATED SHALL
BE PROVIDED W/FULL COVERAGE. AUTOMATIC.
• IRRIGATION SYSTEM W/ APPROVED BACKFLOW
DEVICE.
• SEPARATE PERMIT REQUIERED FOR
BLOCK WALLS AND POOL.
' t
• PROVIDE PRESSURE REGULATOR FOR WATER SERVICE
WHERE PRESSURE EXCEEDS 80 P.S.I (PER UPC 608.2)
ORDINANCES.
•' POOL (IF ANY) AND BLOCK WALLS REQUIERE SEPARATE
�4 PERMIT PER CITY OF LA QUINTA.
' Site Plan «
t
Iia-I o PROJECT DATA
. Milan Ct. _
' ; ti• - PROJECT
f - A Guest House Addition
OWNER:
Gerardo Segura
• 43875.M Ian Ct., yL
La Ouinta. CAr 92253 -